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U.S. Army Governor's Newsletter June 2019

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LTC Cristin A. Mount, MD, FACP, ACP Governor

LTC Cristin A. Mount, MD, FACP, ACP Governor

 


Recap of Chapter Meeting

It has been about a year since I last sent out a newsletter and I apologize for the interruption in regular communications. My plan was to send out a fall and winter newsletter during my maternity leave, and despite this being my third child, I still didn't learn that most of maternity leave is actually spent recovering from delivery and mitigating sleep deprivation!

We had a fantastic Chapter Meeting, co-hosted with the Air Force Chapter, at Lackland AFB in San Antonio during the first week of September. Each year our phenomenal planning committee puts together a better program and this past year was no exception. Additional CME and MOC credit were offered for plenary sessions and the Doctors' Dilemma competition. Thanks to LTC Hartzell and a group of outstanding USU faculty, we hosted a Faculty Development Pre-Course at the San Antonio Marriott Plaza Hotel, with a surprise visit from USU's Dean Kellerman! Not to be outdone, our Chapter Council of Early Career Physicians (ECP) hosted an evening social and piloted a “Speed Mentoring Luncheon”. The Speed Mentoring Luncheon gave ECPs, defined as physicians who are within 14 years of medical school graduation, the opportunity to meet with Chapter leaders, mentors and senior physicians “Speed Dating” style over a buffet luncheon. The event was highly successful and won both Chapters an Honorable Mention as part of National ACP's Evergreen Award Program.

As usual, the amazing work of our Army residents, fellows and teaching faculty was on display with multiple abstract competitions and the often heated, sometimes contested, Doctors' Dilemma competition! The Doctors' Dilemma team from Walter Reed National Military Medical Center came away victorious, and won the right to represent the Chapter at the National ACP competition.

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US Army Chapter Team: CPT Klusewitz, CPT Cerne, and CPT Mitchell

The following Army and Air Force ECPs, fellows and residents won their respective abstract competitions. Army Resident winners were able to represent the chapter in the National ACP Abstract Competition:

Early Career Physician QIPS/Research Podium Competition

LTC Kevin Akers, “Antimicrobial PK/PD and the Future of Precision Therapy”

Early Career Physician Clinical Vignette Poster Competition

Maj Amanda Deans, “Great Mimickers, Personality Changes Missed by Co-workers and Primary Care Managers”

Fellow Research Podium Competition

Capt John C. Hunninghake, “An Evaluation of Critically Ill Patients with Pulmonary Disease Evacuated from Theater via CCATT”

Fellow Clinical Vignette Poster Competition

Capt Lauren E. Lee, “Novel Use of Tocilizumab and HBOC-201 to Successfully Treat Severe, Life-Threatening Acute Hyperhemolysis Syndrome”
CPT Hector A. Medina, “Anti-Synthetase Syndrome – A Rare Consideration in Patients with Seronegative Inflammatory Arthritis”
Capt Jess Anderson, “Intrabronchial Instillation of Voriconazole for a Pulmonary Aspergilloma”

Fellow QIPS Poster Competition

MAJ Victoria Fernandes-Sullivan, “Survival and Cost of Biologic DMARDS in a Military Medical Center: A Quality Improvement Opportunity”

Resident QIPS Poster Competition

CPT Abhimanyu Chandel, “Bleeding Money: Improving the Administration of Anticoagulation in High Risk Patients”

Resident Clinical Vignette Poster Competition

CPT Caroline Murphy, “Last Response for the First Responder? Arrhythmogenic Syncope in a Soldier First-Responder Reveals Rare Channelopathy”

Resident Research Podium Competition

CPT Sylvester Luu, “Fecal Calprotectin Levels as a Proxy of Histological Healing in Ulcerative Colitis”

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US Army Resident Research Podium Winner, CPT Sylvester Luu represents the Chapter in the National ACP Abstract Competition

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Internal Medicine 2019

As usual, our chapter had a great showing at the National ACP meeting in Philadelphia, PA. Our Doctors' Dilemma Team, from Walter Reed National Military Medical Center, had a tough six-team bracket to fight through in the first round. They did an incredible job and took the game to a multiple-question, sudden death tie-breaker where they were just barely edged out by the buzzing skills of their opponents. Nevertheless, they represented us well and are likely already practicing for the next chapter competition.

In addition to Doctors' Dilemma, we had multiple residents and fellows presenting abstracts in the National abstract competition. Only 600 abstracts are accepted to the National meeting, out of thousands submitted, and the large Army presence speaks to the academic strength of all of our training programs!

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SAUSHEC Residents CPT Boster and CPT Hodgeman present their abstracts in the National competition

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CPT Askin teaching ultrasound guided central line placement in the Waxman Skills Center

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The SAUSHEC group (both Army and Air Force) at National ACP this year. Left to right: Maj Luke Surry, COL Joshua Hawley-Molloy, CPT Josh Boster, LTC Tatjana Calvano, Capt Kristen Bader, Maj Stuart Brigham, Capt Lacy Lowry, Maj John Hunninghake, Capt Asha De, Capt Matt Rendo, CPT Nick Hodgeman, CPT Sylvester Luu, Capt Christina Awad, Capt Brandon Kuiper, and CPT Cyrus Askin

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Advancement to Fellowship

If you are an ACP Member in good standing for at least three years since completion of residency training, please consider looking into advancement to Fellowship in the College. There are several different pathways that can get you to Fellowship including professional activities in Internal Medicine or a medicine subspecialty, experience in practice or an academic position for at least two years, professional development and scholarly activity, hospital committee work or volunteer/community service contributions. To find out more about Fellowship, go here

If you are a newly elected Fellow, please consider attending Convocation at the National Meeting!

Congratulations to the following Chapter Members who were elected to Fellowship in January and March 2019:

MAJ Derrick Antoniak
MAJ Timothy Brown
LTC Megan Childs
Dr. Melody Orr King
MAJ Jason Lanning
MAJ William Wadzinski

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Army Governor LTC Cristin Mount and Air Force Governor COL (Ret) Matthew Carroll at the Convocation Ceremony staging area in Philadelphia, PA

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Updates from National Councils

The Army leads the way, and that is clearly obvious with a quick look at our representation on National Councils. The ACP has several national councils that meet and advise the College on matters pertaining to certain member sections. The Council of Resident and Fellow Members (CRFM) represents all ACP members currently in residency or fellowship. The incoming Chair is Capt John Hunninghake, Air Force SAUSHEC Pulmonary Fellow and CPT Carlie Cerne and LT Matthew Nelson, both from Walter Reed Army Medical Center hold seats on the Council. CPT(P) Zachary Junga just finished his term, during which he developed a Resource Guide for Governors and Chapters to assist them in incorporating programming for residents and fellows into their Chapter activities. If you are interested in the National CRFM, please get in touch with Capt Hunninghake, CPT Cerne or LT Nelson.

In addition to the CRFM, the Army also has strong representation on the National Council of Early Career Physicians (CECP), with LTC(P) Joshua Hartzell finishing his term this year and Chapter meeting planner LTC Tatjana Calvano serving a current term. LTC Calvano and LTC(P) Hartzell are hard at work building an ECP mentorship program within our Chapter – please look for ECP specific events at the upcoming Chapter meeting.

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Chapter Meeting 2019

Our US Army Chapter meeting is just around the corner and we are finalizing program details. The dates are 5 – 7 September at Joint Base Lackland in San Antonio, TX. We will run concurrent Faculty Development sessions, courtesy of the USU Faculty Development program and have all of the usual highlights in terms of abstract competitions, awards programs and Doctors' Dilemma. The academic program will continue to focus on the future of Internal Medicine in the Military, with a strong Operational Medicine focus. We will have the ECP Speed Mentoring Luncheon again, as well as a Women's Mentoring Luncheon, two evening social hours as we break up Doctors' Dilemma into preliminary and final rounds and the all-important breakfast burrito and coffee early morning sustenance. Please look out for our registration brochure, which will have additional details on the program, and available MOC and CME credit. Once again, we've been able to keep registration FREE!

We have reserved a block of rooms at the government per diem rate at the Marriott San Antonio Plaza Hotel which can be booked here As in previous years, free bus transportation from the hotel to Lackland AFB will be provided.

Information can also be found at our Chapter Website which will be updated as new details are available.

PLEASE remember that attendees MUST be able to secure access to Lackland AFB on their own. This means you must have appropriate government ID, or be accompanied by a sponsor who holds appropriate government ID. Neither the Chapters, nor the meeting planners will sponsor attendees onto post.

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CPT Shawn Curry presents his poster during the Resident Clinical Vignette Competition at the 2018 Chapter Meting

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COL Kevin Chung, USU Chair, Department of Medicine and Critical Care Medicine Consultant to the Surgeon General gives the Pulmonary, Critical Care breakout session an update on the state of Army Critical Care

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MAJ Brian Pomerantz (Staff Cardiologist, EAMC), MAJ Jack Kiley (ID Fellow, SAUSHEC), COL Patricia Short (IM PD, MAMC) and COL (Ret) Alex Niven (Staff Pulmonologist, Mayo Clinic) after Dr. Niven's plenary talk, “Building a Better ICU Team: Turning Today's Lessons into Tomorrow's Practice”

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Residents enjoy the Chapter meeting, from left to right front row: CPT Chelsea Garner, CPT Trevor Wellington, CPT Shawn Curry and from left to right back row: CPT Anna Stein, CPT Cornelia Willis, CPT Paula Morzenti, CPT Jared Magee, CPT Jonathan Schuenemeyer, CPT Matteo Houle, CPT Griffith Curtis

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Chapter Elections

Finally, we are about to hold elections for the next Army Chapter Governor! This summer, please look for elections announcements and instructions from National ACP. All members in good standing are eligible to vote and I highly encourage you to do so! At the end of the election cycle, we will have a Governor Elect-Designee who will become the Governor Elect at the 2020 National Meeting in Los Angeles, CA and then assume duties as Chapter Governor at the 2021 National Meeting in Orlando, FL.

If you are interested in becoming more involved in the Chapter, please do not hesitate to contact me.

I hope to see you all in September!

LTC Cristin Mount

US Army Chapter Governor

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